MI CLINICA MEDICA BELLAIRE PLLC NPI 1023606779

NPI Information

NPI: 1023606779
Provider Name: MI CLINICA MEDICA BELLAIRE, PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 45D2278501

Address:
5901 BELLAIRE BLVD STE 104
HOUSTON, TX
ZIP 77081
Phone: (832) 638-5975
Get Directions

MI CLINICA MEDICA BELLAIRE, PLLC is a family nurse practitioner in Houston, TX. MI CLINICA MEDICA BELLAIRE, PLLC NPI is 1023606779. The provider is registered as an organization entity type.

The provider's business location address is:

5901 BELLAIRE BLVD STE 104
HOUSTON, TX
ZIP 77081-515
Phone: (832) 638-5975

The provider's authorized official is Yaimara Gonzalez Pantoja .
The authorized official title is Owner and has the following contact phone number (832) 638-5975.

The CLIA number assigned to this NPI record is 45D2278501 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2021 and was last updated on 3/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261Q00000X	Clinic/Center		No
2	261QP2300X	Clinic/Center	Primary Care	No
3	363LF0000X	Nurse Practitioner	Family	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »